Scott R. Wysowski P.A.

NPI 1770693640 - Physician Assistant - 363AM0700X

NPI Details
NPI 1770693640
Gender Male
Enumeration Date 08/30/2006
Last Updated 06/06/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
2535 IRA E WOODS AVE
GRAPEVINE TX, 76051-3930, US
Phone (817) 481-2121
Fax (817) 488-4493
Business Location
2535 IRA E WOODS AVE
GRAPEVINE TX, 76051-3930, US
Phone (817) 481-2121
Fax (817) 299-1706
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA04750
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According to our database, Scott R. Wysowski P.A. NPI is 1770693640, taxonomy code is 363AM0700X and license number is PA04750, license state is located at Texas. Scott R. Wysowski P.A. physically located at 2535 Ira E Woods Ave, Grapevine TX, 76051-3930. NPI Number Scott R. Wysowski P.A. has the Individual type.

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1770693640 NPI number is provided on an as is basis without warranty of any kind. 1770693640 is maintained by the National Plan & Provider Enumeration System. The contents of Scott R. Wysowski P.A. are for informational purposes only.